Leenknecht, Tyler Paul

Leenknecht, Tyler Paul is an individual health care provider with primary practice located at 1407 W. Mcmillan Road Suite 120, Meridian ID 83646. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Leenknecht, Tyler Paul can be contacted via phone (208) 315-6717.

Contact Information

Primary practice address
1407 W. Mcmillan Road Suite 120 Meridian ID 83646
Phone: (208) 315-6717
Fax: (208) 315-6718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Idaho

Profile Details

NPI number 1366210163
LBN Legal business name Leenknecht, Tyler Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2023
Last updated Dec 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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